SearchMichigan207V00000X

Anthony Boutt, MD

NPI 1710981071 · on the registry since 2005

Practice

Address
22250 Providence Dr
408
Southfield, MI 48075
Phone
(248) 465-4470
Fax
(248) 465-4471
Organisation at this address
Aad, Pllc
Tara Scott, Pc
Jian Zu Md Pllc
Tara Scott Dpm Pc
Kevin Nolan Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
273

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan